As the cost and complexity of healthcare plans increase every year, providing affordable, effective benefits is one of the most significant challenges facing employers today. In fact, your ability to balance meaningful benefits with manageable costs can either be a drain on growth and profitability - or a true competitive advantage.

That's why progressive employers rely on Integra BMS to design and administer their group benefit plans. With our seamlessly integrated family of services and our proven experience in medical management, we partner with our clients to keep benefits strong, costs affordable, and to positively impact the long-term health of a plan's population.

What Sets Us Apart?

Superior cost control through in-house medical management

By combining benefit administration and comprehensive medical management, we can diligently monitor a member's health and ensure smooth transitions between our different health management programs. This allows us to intervene at the right time and reduce the frequency and severity of high-cost claims.

Prompt, accurate claims administration

Integra BMS is an industry leader in claims processing efficiency. We also back this up through the Integra Assurance Program, which guarantees our performance based on predetermined criteria. Our exemplary SAS 70 audit results reflect our dedication to excellence.

Independent and objective

While other benefit administrators are owned by PPO networks or insurance companies, Integra BMS is an independent, privately-held organization. This gives us the freedom to keep overhead expenses and fees low, provide a full range of flexible in-house solutions, and offer objective advice to our clients.

Customized reporting

Any TPA can provide access to standardized reporting, but thanks to the power of our Oracle database, we have the ability to compare and interpret the full spectrum of data needed to measure effective plan administration and performance. In addition, we provide our clients with customized and ad hoc reports at any time.

Advanced technology

Through continuous investment in our secure, robust data platform, we are able to provide exceptional financial and procedural accuracy, high rates of EDI and auto adjudication, and effective fraud and overpayment safeguards. With our convenient online tools, employers, brokers and members can easily enroll, review claim status, request forms, access a provider network, and download plan reporting - 24/7.

Excepted Benefits - Final Regulations Released
Final regulations by the Departments (Treasury, DOL, HHS) released on September 26 eliminate the requirement that participants pay an additional premium or contribution for limited-scope vision or dental benefits to qualify as "excepted benefits".
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